H.R. 3635 would modify some processes by which private contractors develop coverage and payment policies within the Medicare program. CBO estimates that enacting the bill would not affect direct spending or revenues; therefore, pay-as-you-go procedures do not apply. H.R. 3635 would not affect spending subject to appropriation.
CBO estimates that enacting H.R. 3635 would not increase net direct spending or on-budget deficits in any of the four consecutive 10-year periods beginning in 2029.
H.R. 3635 contains no intergovernmental or private-sector mandates as defined in the Unfunded Mandates Reform Act.